| NPI | 1508233560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103047) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW78839) |
| 106H00000X Marriage & Family Therapist (Licence: CA ASW78839) | |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2021-08-17 |